Professional Documents
Culture Documents
EtikaRatnaN
definisi
Mineralmakro:mineralyangdibutuhkan
tubuh>100g/hr
Mineralmikro:mineralyangdibutuhkan
tubuh<100g/hr
Ada24mineralessensialyangdibutuhkan
Mineralmakro:Na,Cl,K,Ca,P,MgdanS
2
KLASIFIKASIMINERAL
MINERALMAKRO
Diperlukandlmjml>100mg/hari(dewasa)
KALSIUM
FOSFOR
MAGNESIUM
SODIUM(Natrium)
POTASSIUM(Kalium)
KLORIDA
SULFUR
3
MINERALMIKRO
Diperlukandlmjml<100mg/hari
Iron
Zinc
Manganese
Copper
Fluorine
Selenium
Molybdenum
Iodine.
Chromium
Boron
Cobalt
4
NATRIUM/SODIUM(Na)
Mrpkkationutamadlmcairanekstraselular.
3540%adadidalamkerangkatubuh.
Pengontrolanosmolaritasdanvolumecairan
tubuhsangattergantungpadaionNadanrasio
Nathdionlainnya.
Absorbsi&Metabolisme
Diabsorbsisecaraaktifterutamadiusushalus.
Naygdiabsorbsidibawaolehalirandarahkeginjal,
kmddisaringdandikembalikankealirandarahdlm
jumlahygcukupuntukmempertahankankadarNadlm
darah.
KelebihanNa(9099%)dikeluarkanmelaluiurin
diaturolehhormonaldosteron(dikeluarkanoleh
kelenjaradrenal).Aldosteronmerangsangginjaluntuk
mereabsorbsikembaliNa.
Normal:NaurinNaygdikonsumsi
FUNGSINa
Menjagakeseimbangancairanekstrasel.
Menjagakeseimbanganasambasa
Berperandalamtransmisisarafdankontraksiotot.
Mengaturtekanandarah
Berperandlmabsorbsiglukosa&sbgalatangkut
zat2gizilainmelaluimembran,terutamamelalui
dindingususpompaNa
KebutuhanNa
TaksirankebutuhanNasehariuntukorang
dewasaadalah500mg.
KebutuhanNadidasarkanpadakebutuhan
pertumbuhan,kehilanganNamellkeringat
&sekresilain.
AnjuranWHOpembatasankonsumsigaram
dapurhingga6gramsehari2400mEqNa.
SumberNa
Garamdapur(NaCl)
MSG
Kecap
Makananygdiawetkandgngaramdapur.
Sodakue&bakingpowder
Natriumbenzoat
KEKURANGANvsKELEBIHAN
Na
KEKURANGAN
Kejang,apatis,dan
kehilangannafsu
makan.
Dptterjadipada
muntah,diare,
keringatberlebih,dan
dietrendahNa.
KELEBIHAN
Keracunanygdalam
keadaanakut
menyebabkanedema
danhipertensi.
KALIUM/POTTASIUM(K)
Ionbermuatanpositif, AbsorbsidanEkskresi
terutamaterdapatdlm Diabsorbsidiusus
didalamsel(95%).
halus.
PerbandinganNadan 8090%Kyang
dikonsumsidiekskresi
Kdidalamcairan
mllurin.,selebihnya
intraseluleradalah1:
diekskresikanmllfeses,
10,sdgkandidlm
dansedikitmllkeringat
cairanekstraseluler
dancairanlambung.
adalah28:1.
KadarKaliumnormaldarahdipeliharaoleh
ginjaldibwhpengaruhaldosteron.
Kdikeluarkandalambentukiondengan
menggantikanionNamllmekanisme
pertukarandidalamtubulaginjal.
FUNGSIKalium
BersamaNa,K
berperandlm
pemeliharaan
keseimbangancairan&
elektrolitserta
keseimbanganasam
basa.
BersamaCa,berperan
dlmtransmisisarafdan
relaksasiotot.
Sbgkatalisatordlm
banyakreaksibiologik,
terutamadalam
metabolismeenergi&
sintesisglikogendan
protein.
Berperandlm
pertumbuhansel.
Mengaturtekanan
darah
Kebutuhan&SumberK
Kebutuhanminimum
diperkirakan2000mg
sehar.
SumberutamaK
adalahmknsegar,
terutamabuah,sayur,
dankacang2an.hari.
AKIBATKEKURANGAN&
KELEBIHAN
KekuranganKjarang
terjadi.
Dptterjadikrnkehilangan
Kmellsalurancernaatau
ginjalakibatmuntah,diare
kronis,ataukonsumsi>>
laksan
Menyebabkanlemah,lesu,
kehilangannafsumakan,
kelumpuhan,mengigau,
konstipasi
KelebihanK(akut)dpt
menyebabkangagal
jantung.
Terjadibilakonsumsimll
sal.cerna/tidakmllsal.
Cernamelebihi12.0g/m2
tanpadiimbangioleh
kenaikanekskresi.
KelebihanKjugadapat
terjadibilaadagangguan
fungsiginjal.
Klorida(Chloride)/Cl
Mrpkanionutamacairan
ekstraseluler.
Mrpkn0,15%BB
BilabereaksidgnNa
atauH,klorakan
membentukionklor
yangbermuatanCl
AbsorbsidanEkskresi
Diabsorbsididalamusus
halus
Diekskresimllurindan
keringat.
KehilanganClmengikuti
kehilanganNa.
FUNGSICl
Memeliharakeseimbanganasambasa
BersamaNadanKmembantumempertahankan
keseimbangancairandanelektrolit.
Sbgunsurgetahlambung
Kebutuhan&SumberKlorida
Tdkditetapkansecara
khusus.
Kebutuhanminimum
diperkirakan750mg
sehari.
Garamdapur
(terdapatbersamaan
dgnNa).
Makananolahanyang
ditambahkangaram
dapur.
Sayurandanbuah2an.
KALSIUM(Ca)
Mineralyangpaling
FUNGSI
Pembentukantulang
banyakterdapatdi
dangigi.
dalamtubuh:1.52%
perBBorangdewasa Kontraksiotot
Mengaturkepekaan
saraf
99%:jaringankeras
Pentinguntukirama
(tulangdangigi)
jantungyangnormal
Sebagaikatalisator
reaksi2biologis.
Mengaturpembekuan
darah
ABSORBSIDANEKSKRESI
3050%Cayangdiabsorbsitubuh.
Kemampuanabsorbsipadamasa
pertumbuhan,&padaprosesmenua.
Absorbsiterutamatjddibagianatasusushalus
yaituduodenum.
ButuhpH6agardptberadadalamkeadaan
larut.
Absorbsiterutamascraktifdngbantuanalat
angkutproteinpengikatkalsium.
Absorbsipasiftjdpadapermukaansaluran
cerna.
Pengendaliankalsiumdalamdarah
.
VitDdanPTH:
ReabsorbsiCa
diginjal
Kalsitionin:
PengendapanCa
ditulang
Kalsiumdarah
910.4mg/dl
VitD:
AbsorbsiCa
salurancerna
VitD&PTH:
PelepasanCadalam
darah
21
PerananCadalamPembekuanDarah
Luka pada Sel
Protombin
Tromboplas
Platelet Darah
Trombin
Fibrinogen
Trombin
Fibrin (gumpalan
darah)
Kalsium Darah
Tromboplastin
23
SUMBERCa
Susudanhasilolah
Ikandimakandengantulang
Serealia,kacang2andanhasilolah,dan
sayuranhijau:jugamengandungserat,fitat
danoksalat
AKIBATKEKURANGAN&
KELEBIHANCa
KEKURANGAN
Padamasapertumbuhan
dapatmenyebabkan
gangguanpertumbuhan.
Ricketsiapadaanak2,
osteomalasiapadaorang
dewasa.
Osteoporosis:tulangkurang
kuat,mudahbengkok,dan
rapuh.
Tetani
KELEBIHAN
Konstipasi
Terganggunya
absorbsiFe,Zn,Cu.
Gangguanginjal:
batuginjal
FOSFOR
Mineralke2terbanyakdalamtubuh
=1%BB
85%sbggaramKalsiumFosfatdlmtulangdan
gigi
DitulangCa:P=2:1
Pterdapatdiotot,cairanekstraseluler,DNA,RNA
Pdalambentukfosfolipid(dindingsel)danfosfat
organik(ATP)
FUNGSI
1.Kalsifikasitulangdangigi
2.MengaturpengalihanEnergi
3.Absorbsidantransportzatgizi
4.Bagianikatantubuhessensial
5.Pengaturankeseimbanganasambasa
ABSORBSI&METABOLISME
diabsorbsisecaraefisiensebagaifosforbebasdidalam
usussetelahdihidrolisisdandilepasdarimakanan.
Absorbsipasif&aktif(dibantuvitaminD).
Didalamdarah:anorganik,fosfolipid
KadarPdidarahdikontrol
1.HormonPTHMenurunkanreabsorbsiPolehginjal
2.KalsitioninMeningkatkanekskresiPolehginjal
FaktorPenghambatAbsorbsiP
1.Asamfitat(serealia)
2.Fe,Mg
3.Asamlemaktakjenuh
4.AntasidygmengandungAl
(membentukgaramygtdklarutair)
29
Kekurangan(jarang
terjadi)kecuali
mengkonsumsiantasid
dalamjumlahbanyak
Kelebihan(jarangterjadi
krndikeluarkanmelalui
urinsecaraefisien)
SUMBERFOSFOR
Terdapatdidalam
semuamakanan,
terutamamakanan
kayaprotein
30
MAGNESIUM(Mg)
Kationdalamcairanintraseluler
60%Mgterdapatdalamtulang(cadangan)dan
gigi,
26%diotot,selebihnyadlm.Jaringanlunak
&cairantubuh
JumlahMgdalamtubuh:2028mg
31
FungsiMg
SistemEnzim
Katalisatorreaksibiologis
Transmisisyaraf,konstraksiototdan
pembekuandarah
MenahanCadalamemailgigi
Krnkelarutanygrendahdapatdigunakan
sbglaxative
32
Kekurangan*Kelebihan
Kekurangan
1.DepositCatidaknormaldibbgjaringan
2.Batuginjal
3.Denyutjantungtidakteratur,
gemetar,kram
Kelebihan(jarangterjadi)
gangguansistemsyarafpusat
33
FaktoryangMempengaruhi
Kebutuhan
Pertambahanjaringan
Konsumsiserattinggi
Konsumsifitattinggi
KonsumsiCaberlebihan
SUMBERMg
Sayuranhijau
34
ABSORBSI
Diabsorbsididlm
AbsorbsiMg
usushalus.
dipengaruhioleh
faktor2yg
Padakonsumsiyang
mempengaruhi
tinggihanya30%
absorbsiCa(kcl
yangdiabsorbsi.
vitaminD).
Padakonsumsirendah
sebanyak60%yang
diabsorbsi.
SULFUR(S)
Merupakanbagianzatzatgiziessensial
co:Vit(Tiamin,Niasin)
:Asamamino(Metionin,sistein,sistin)
Sulfurterutamaterdapatpadatulangrawan,
kulit,rambut,kuku(jar.Ikatkaku)
36
ABSORBSI
DiabsorbsisebagaiAA/sulfurorganik
Diekskresikanmelaluiurin(perbandinganN/S
=1:2)
KECUKUPAN
Cukupbilakonsumsiproteincukup
KELAINAN
Cystinuria
37
Iron
Ferrous (Fe++)
Reduced
Ferric (Fe+++)
Oxidized
Iron Absorption
Iron
Factors enhance nonheme iron
absorption
MFP factor
Vitamin C
Citric acid from
foods
Iron
Factors enhance nonheme iron
absorption
Lactic acid from foods
HCl from stomach
Sugars
Iron
Factors inhibit nonheme iron
absorption
Phytates
Fibers
Oxalates
Iron
Factors inhibit nonheme iron
absorption
Calcium
Phosphorus
EDTA
Tannic acid
Iron Recycling
Iron
High risk for iron deficiency
Women in their reproductive
years
pregnant women
Infants and young children
Teenagers
Iron
Stages of iron deficiency
Iron stores diminish
Transport iron decreases
Hemoglobin production declines
Blood cells in
iron-deficiency
anemia are
small and pale
because they
contain less
hemoglobin
Iron
Contamination
iron
Iron
supplements
Iron: In Summary
2001 RDA
Men: 8 mg/day
Women (19-50 years): 18 mg/day
Women (51+ years): 8 mg/day
Iron: In Summary
Chief functions in the body
Part of the protein hemoglobin, which
carries oxygen in the blood
Part of the protein myoglobin in
muscles, which makes oxygen
available for muscle contraction
Necessary for the utilization of energy
as part of the cells metabolic
machinery
Copyright 2005 Wadsworth Group, a division of Thomson Learning
Iron: In Summary
Significant sources
Red meats, fish, poultry, shellfish,
eggs
Legumes, dried fruits
Iron: In Summary
Deficiency symptoms
Anemia: weakness, fatigue,
headaches
Impaired work performance and
cognitive function
Impaired immunity
Pale skin, nailbeds, mucous
membranes, and palm creases
Concave nails
Inability to regulate body
temperature
Pica
Copyright 2005 Wadsworth Group, a division of Thomson Learning
Iron: In Summary
Toxicity symptoms
GI distress
Iron overload: infections, fatigue,
joint pain, skin pigmentation, organ
damage
Zinc
Roles
Metalloenzymes
Absorption
Metallothionein
Zinc
Enteropancreatic circulation
Zinc
Zinc supplementation
Zinc: In Summary
2001 RDA
Men: 11 mg/day
Women: 8 mg/day
Zinc: In Summary
Chief functions in the body
Part of many enzymes
Associated with the hormone insulin
Involved in making genetic material
and proteins, immune reactions,
transport of vitamin A, taste
perception, wound healing, the
making of sperm, and the normal
development of the fetus
Zinc
Significant
sources
Proteincontaining
foods
Red meats,
shellfish
Whole grains
Zinc
Deficiency
symptoms
Growth
retardation,
delayed sexual
maturation,
impaired immune
function, hair loss,
eye and skin
lesions, loss of
appetite
Copyright 2005 Wadsworth Group, a division of Thomson Learning
Zinc: In Summary
Toxicity symptoms
Loss of appetite, impaired immunity,
low HDL, copper and iron deficiencies
Iodine
Iodine vs. iodide
Deficiency
Goitrogens
Iodine: In Summary
2001 RDA for adults: 150 g/day
Upper level: 1100 g/day
Chief functions in the body
A component of two thyroid
hormones that help to regulate
growth, development, and metabolic
rate
Iodine: In Summary
Significant sources
Iodized salt, seafood, bread,
dairy products, plants grown in
iodine-rich soil and animals fed
those plants
Deficiency disease
Simple goiter
Cretinism
Iodine: In Summary
Deficiency symptoms
Underactive thyroid gland, goiter
Mental and physical retardation in
infants (cretinism)
Toxicity symptoms
Underactive thyroid gland, elevated
TSH, goiter
Selenium
2000 RDA for adults: 55 g/day
Upper level for adults: 400 g/day
Chief functions in the body
Defends against oxidation
Regulates thyroid hormone
Significant sources
Seafood, meat
Whole grains, vegetables (depending
on soil content)
Copyright 2005 Wadsworth Group, a division of Thomson Learning
Selenium
Deficiency symptoms
Predisposition to heart disease
characterized by cardiac tissue
becoming fibrous (Keshan disease)
Toxicity symptoms
Loss and brittleness of hair and nails
Skin rash, fatigue, irritability, and
nervous system disorders
Garlic breath odor
Copper
2001 RDA for adults: 900 g/day
Upper level for adults:
10,000 g/day (10 mg/day)
Chief functions in the body
Necessary for absorption and use of
iron in the formation of hemoglobin
Part of several enzymes
Copper
Significant sources
Seafood
Nuts, whole grains, seeds, legumes
Deficiency symptoms
Anemia, bone abnormalities
Toxicity symptoms
Liver damage
Manganese
2001 AI
Men: 2.3 mg/day
Women: 1.8 mg/day
Manganese
Significant sources
Nuts, whole grains, leafy vegetables,
tea
Deficiency symptoms
Rare
Toxicity symptoms
Nervous system disorders
Fluoride
1997 AI
Men: 3.8 mg/day
Women: 3.1 mg/day
U.S.
Population
With
Fluoridated
Water
Fluoride
Significant sources
Drinking water (if fluoride containing
or fluoridated)
Tea, seafood
Deficiency symptoms
Susceptibility to tooth decay
Toxicity symptoms
Fluorosis (pitting and discoloration of
teeth)
Copyright 2005 Wadsworth Group, a division of Thomson Learning
Chromium
2001 AI
Men: 35 g/day
Women: 25 g/day
Significant sources
Meats (especially liver)
Whole grains, brewers yeast
Chromium
Deficiency symptoms
Diabetes-like condition
Toxicity symptoms
None reported
Molybdenum
2001 AI for adults: 45 g/day
Upper level for adults: 2 mg/day
Chief functions in the body
Cofactor for several enzymes
Significant sources
Legumes, cereals
Organ meats
Molybdenum
Deficiency symptoms
Unknown
Toxicity symptoms
None reported
Reproductive effects in animals
Other Trace
Minerals
Cobalt
Boron
Arsenic
Contaminant Minerals
Heavy metals
Lead